{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:26:04Z","timestamp":1777674364723,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T00:00:00Z","timestamp":1685404800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000008","name":"Health Canada","doi-asserted-by":"publisher","award":["1920-HQ-000098)"],"award-info":[{"award-number":["1920-HQ-000098)"]}],"id":[{"id":"10.13039\/501100000008","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Healthc Manage Forum"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>In April 2019, the province of Nova Scotia became the first jurisdiction in North America to pass legislation that incorporated deemed consent for deceased organ donation. The reform included many other important updates, including the hierarchy for consent, enabled donor and recipient contact, and mandatory referral of potential deceased donors. Additionally, system reforms were implemented to improve the deceased donation system in Nova Scotia. A collection of national colleagues identified the magnitude of the opportunity to develop a comprehensive strategy to measure and evaluate the impact of the legislative and system reforms. This article describes the successful development of a consortium from both national and provincial jurisdictions that included experts from a variety of backgrounds and clinical and administrative disciplines. In describing the creation of this group, we hope to offer our case example as a model for the evaluation of other health system reforms from a multidisciplinary perspective.<\/jats:p>","DOI":"10.1177\/08404704231175024","type":"journal-article","created":{"date-parts":[[2023,5,30]],"date-time":"2023-05-30T14:00:06Z","timestamp":1685455206000},"page":"357-363","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development of a consortium to examine organ donation legislative and system reforms: A report from the LEADDR consortium"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4030-0126","authenticated-orcid":false,"given":"Cynthia","family":"Isenor","sequence":"first","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Transplant Qu\u00e9bec, Montr\u00e9al, Qu\u00e9bec, Canada."},{"name":"CHU de Qu\u00e9bec-Universit\u00e9 Laval Research Center, Laval, Qu\u00e9bec, Canada."},{"name":"Canadian Donation and Transplantation Research Program, Edmonton, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Beed","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."},{"name":"Dalhousie University, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Urquhart","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."},{"name":"Dalhousie University, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karthik","family":"Tennankore","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."},{"name":"Dalhousie University, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda","family":"Lucas","sequence":"additional","affiliation":[{"name":"McMaster University, Hamilton, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gail","family":"Tomblin-Murphy","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1542-8336","authenticated-orcid":false,"given":"Kristina","family":"Krmpotic","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."},{"name":"Dalhousie University, Halifax, Nova Scotia, Canada."},{"name":"IWK Health Centre, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonny","family":"Dhanani","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario, Ottawa, Ontario, Canada."},{"name":"University of Ottawa, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori J.","family":"West OC","sequence":"additional","affiliation":[{"name":"Canadian Donation and Transplantation Research Program, Edmonton, Alberta, Canada."},{"name":"University of Alberta, Edmonton, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Gongal","sequence":"additional","affiliation":[{"name":"Canadian Donation and Transplantation Research Program, Edmonton, Alberta, Canada."},{"name":"University of Alberta, Edmonton, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Hartell","sequence":"additional","affiliation":[{"name":"Canadian Donation and Transplantation Research Program, Edmonton, Alberta, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christy","family":"Simpson","sequence":"additional","affiliation":[{"name":"Dalhousie University, Halifax, Nova Scotia, Canada."},{"name":"Canadian Blood Services, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lee","family":"James","sequence":"additional","affiliation":[{"name":"Canadian Blood Services, Ottawa, Ontario, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Landry","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jade","family":"Dirk","sequence":"additional","affiliation":[{"name":"Nova Scotia Health Authority, Halifax, Nova Scotia, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,30]]},"reference":[{"key":"bibr1-08404704231175024","volume-title":"Organ donation and transplantation in Canada. 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Accessed July 6, 2022."},{"key":"bibr7-08404704231175024","volume-title":"Organ and Tissue Donation Law now in Effect","author":"Premier\u2019s Office, Government of Nova Scotia","year":"2021"},{"key":"bibr8-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15055"},{"key":"bibr9-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr619"},{"key":"bibr10-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1177\/0840470420919129"},{"key":"bibr11-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2019.02.028"},{"key":"bibr12-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)60767-2"},{"key":"bibr13-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-014-0131-4"},{"key":"bibr14-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2018.5871"},{"key":"bibr15-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001093"},{"key":"bibr16-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1186\/s40504-015-0028-9"},{"key":"bibr17-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"bibr18-08404704231175024","volume-title":"The Improvement Guide: A Practical Approach to Enhancing Organizational Performance","author":"Langley GL","year":"2009","edition":"2"},{"key":"bibr19-08404704231175024","volume-title":"Sustaining Improvement","author":"Scoville R","year":"2016"},{"key":"bibr20-08404704231175024","volume-title":"A Guide to the Project Management Body of Knowledge","year":"2017"},{"key":"bibr21-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.210621"},{"key":"bibr22-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2021.100635"},{"key":"bibr23-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1186\/s12962-022-00355-2"},{"key":"bibr24-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0278983"},{"key":"bibr25-08404704231175024","doi-asserted-by":"publisher","DOI":"10.2196\/preprints.38242"},{"key":"bibr26-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-022-02372-4"},{"key":"bibr27-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1177\/20543581221139039"},{"key":"bibr28-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1186\/s12962-022-00390-z"},{"key":"bibr29-08404704231175024","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-068726"},{"key":"bibr30-08404704231175024","doi-asserted-by":"crossref","unstructured":"Straus SE, Tetroe J, Graham ID.\n                      Knowledge Translation in Health Care\n                      : Moving from Evidence to Practice\n                      . 2nd Edition. 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